Contents: 1. Supplier Information 2. Emergency Contacts 3. Product Information 4. Regulatory Status 5. Ingredient Statement 6. Quality Documents 7. Kosher/Halal Status 8. Allergen Status 9. Sulfur Dioxide and Sulfite Level 10. Gluten Status 11. GMO Status 12. Irradiation, ETO and Sewage Sludge 13. Organic Statement 14. Diet Suitability 15. Bovine Spongiform Encephalopathies (BSE) /Transmissible Spongiform Encephalopathies (TSE) 16. Sudan I IV Dyes Content 17. Country of Origin 18. Shelf Life 19. Storage Conditions 20. Lot Code Explanation 21. Certificate of Analysis 22. Current Good Manufacturing Practices (CGMP) 23. Guarantee (Continuing) 24. HACCP/Flowchart 25. Audit Information 26. Emergency/Recall Procedures 27. Bioterrorism 28. Pest Control 29. Pesticides 30. Proposition 65 Page 1 of 9 Date of Last Change: 28.04.2016 Version 1.4
1. Supplier Information Name: Tate & Lyle Address: 2200 E Eldorado Decatur, IL 62525 USA Main Phone: 1-217-423-4411 Main Fax: 1-217-421-2628 E-mail: orders@tateandlyle.com 2. Emergency Contacts Normal Business Hours: 1-800-526-5728 After Hours Emergency: 1-217-972-2230 Fax: 1-217-421-2628 3. Product Information Common Name: Food Starch - Modified Material Number: 11300144 Specification Number: CAS Number: 113894-92-1 Food Additives Number: INS 1442 21 CFR References: 21CFR172.892 Food Grade: Appearance: Color: Odor: Yes Powder White Starch 4. Regulatory Status Complies with FDA Regulation 21CFR172.892 as Food Starch Modified. Page 2 of 9 Date of Last Change: 28.04.2016 Version 1.4
5. Ingredient Statement Food Starch-Modified 6. Quality Documents Quality documents (Specification, Technical Data Sheet, SDS & Nutritional) available upon Request. 7. Kosher/Halal Status Certified Kosher: Yes Certified Kosher for Passover: No The above-mentioned ingredient or its components is certified Kosher by: Orthodox Union (OU) Certified Halal: Yes 8. Allergen Status If present in this Tate & Lyle ingredient, allergens will be denoted as Present in the table below: Allergen Status Absent Meaning of Present/Absent/Present-Exempt Present - Intentionally added during the production process. Absent - Not intentionally added during the production process. Present-Exempt - Intentionally added during the production process, however have been given exemption from being required to be labeled on the final package. The above list of allergens is in accordance with all applicable EU and US legal requirements. Page 3 of 9 Date of Last Change: 28.04.2016 Version 1.4
Additional allergen information: The above-mentioned ingredient does not originate from substances having allergenic properties for which labeling is required as defined in the Food Allergen Labeling and Consumer Protection Act of 2004 (Public Law 108-282, Title II). Specific allergens listed in this Act are milk, eggs, fish (e.g., bass, flounder, cod), Crustacean shellfish (e.g., crab, lobster, shrimp), tree nuts (e.g., almonds, walnuts, pecans), peanuts, wheat, and soybeans. Although all reasonable care has been taken in managing allergen risk, the above statement should not be considered as a guarantee or claim of "free of...". 9. Sulfur Dioxide and Sulfite Level The sulfur dioxide and sulfite level for above-mentioned ingredient or its components is: Package Multiwall Bag Sulfur Dioxide and Sulfite Level < 10 ppm 10. Gluten Status This product is not either originating from gluten containing cereals or not identified as containing gluten and complies with the applicable EU and US legal requirements based on real-time PCR gluten test methodology. It can be safely used in foodstuffs for people intolerant to gluten. 11. GMO Statement The above-mentioned ingredient is manufactured from corn. Tate & Lyle purchases the corn used in our manufacturing plants from the U.S. corn market. Current growing techniques and grain handling systems intersperse various varieties of corn so it is difficult to segregate the non-gmo corn from the GMO corn varieties. There are no systems in place for the segregation of the quantities of non-gmo corn needed to supply the hundreds of thousands of bushels needed daily by our manufacturing plants. We are unable to certify that the above products are manufactured from non-gmo corn. 12. Irradiation, ETO and Sewage Sludge Page 4 of 9 Date of Last Change: 28.04.2016 Version 1.4
The above-mentioned ingredient or its components have not been produced and handled with the use of: 1. treatment with ionizing radiation 2. exposure to ethylene oxide 3. sewage or sludge. 13. Organic Statement Products manufactured at this Tate & Lyle facility are not designated as Organic. 14. Diet Suitability Vegetarian: Suitable Vegan: Suitable Ovo-Vegetarian: Suitable Lacto-Vegetarian: Suitable Lacto-Ovo-Vegetarian: Suitable 15. Bovine Spongiform Encephalopathies (BSE) /Transmissible Spongiform Encephalopathies (TSE) 1. This ingredient does not contain ingredients of animal origin. 2. If processing aids are contained in this ingredient, the processing aids are not derived from animal origins. 3. Prior to the manufacture of this ingredient, no ingredients of animal origin are present in equipment. 16. Sudan I IV Dyes Content The above-mentioned ingredient or its components do not contain Sudan azo dyes (this includes Sudan I, Sudan II, Sudan III and Sudan IV, which is also known as scarlet red). 17. Country of Origin Page 5 of 9 Date of Last Change: 28.04.2016 Version 1.4
The above-mentioned ingredient or its components is manufactured in the following country: United States 18. Shelf Life The expected shelf life for the ingredient based on being stored under the proper storage conditions: Package Multiwall Bag Shelf Life 730 Days 19. Transportation Information/Storage Conditions Storage Conditions Container Multiwall Bag Storage Temperature Storage conditions to achieve maximum shelf life Store at ambient temperature and humidities. Storage in a cool, dry area will increase shelf life. 20. Lot Code Explanation Batch Numbering Scheme: PACKED PRODUCTS PPYYM9NNNN PP - Plant ID YY - Last two digits of the year (2012) M - Month (A, B, C, D, E, F, G, H, I, J, K, L for Jan - Dec) 9NNNN - Plant related sequential number Example: KO12G91130 Page 6 of 9 Date of Last Change: 28.04.2016 Version 1.4
KO - Plant ID for Tate & Lyle Netherlands 12 - Last two digits of the year (2012) G - Month, July 91130 - Plant related sequential number BULK DELIVERIES PPYYMNNNNN PP - Plant ID YY - Last two digits of the year (2012) M - Month (A, B, C, D, E, F, G, H, I, J, K, L for Jan - Dec) NNNNN - Plant related sequential number Example: KO12G00001 21. Certificate of Analysis Certificates of Analysis are available by request. 22. Current Good Manufacturing Practices (CGMP) The process used for the production of this product is operated based on Tate & Lyle s procedures, quality guidelines, HACCP programs and Good Manufacturing Practices. This operation complies with the FDA Good Manufacturing Practices detailed in 21 CFR 110 for Food Manufacturers, and those referenced in the European Commission Regulation (EC) No. 852/2004 on hygiene of foodstuff. 23. Guarantee (Continuing) Available upon request. 24. HACCP/Flowchart Available upon request. Page 7 of 9 Date of Last Change: 28.04.2016 Version 1.4
25. Audit Information Third Party audits are performed annually at Tate & Lyle locations. Information available upon request. 26. Emergency/Recall Procedures Please be assured that Tate & Lyle has a written Recall Procedure. In the event of an actual recall, Tate & Lyle will notify all customers who have receive affected product. Mock Recalls are conducted at least annually. 27. Bioterrorism Tate and Lyle is in compliance with 21 CFR Part 1-Registration of Food Facilities, and Maintenance and Inspection of Records for Foods, under Public Health Security and Bioterrorism Preparedness and Response Act of 2002. Due to concerns with security, our legal department limits giving out the plant number unless there is an imperative border crossing issue. 28. Pest Control Tate & Lyle employs outside contractors to provide routine pest control service. 29. Pesticides Tate & Lyle has an ongoing pesticide monitoring program. 30. Proposition 65 The State of California enacted the Safe Drinking Water and Toxic Enforcement Act of 1986 ("Proposition 65"), which "prohibits any person in the course of doing business from knowingly and intentionally exposing any individual to a chemical known to the State of California to cause cancer or reproductive toxicity without first giving clear and reasonable warning to such individuals." In our effort to satisfy the requirements of this Page 8 of 9 Date of Last Change: 28.04.2016 Version 1.4
law, independent laboratory analyses were obtained for those products which we manufacture or formulate for sale to you.the results of this analysis confirmed that there are no chemicals regulated under Proposition 65, other than naturally occurring chemicals, detectable in our products using standard analytical methods. Page 9 of 9 Date of Last Change: 28.04.2016 Version 1.4